## Contractor details

**Contractor's name**

**Contractor's address**

## Payment and deduction made in tax month ended

05 MM YYYY

**Employer's Tax Reference**

## Subcontractor details

**Subcontractor's full name**

**Unique Taxpayer reference (UTR)**

**Verification Number**\*

\*Verification number only to be entered where a deduction at the higher rate has been made.

**Gross amount paid (Excl VAT) (A)**

£ 0 0 0 0

**Less cost of materials**

£ 0 0 0 0

**Amount liable to deduction**

£ 0 0 0 0

**Amount deducted (B)**

£ 0 0 0 0

**Amount payable (A-B)**

£ 0 0 0 0

______________________________________________________________________

Subcontractors - Please keep this document safe